Kleinman, Ronald Ellis
Kleinman, Ronald Ellis is an individual health care provider with primary practice located at 55 Fruit St Yaw 6, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Kleinman, Ronald Ellis can be contacted via phone (617) 726-1450.Contact Information
Primary practice address
55 Fruit St Yaw 6
Boston MA 02114-2621
Phone: (617) 726-1450
Fax: (617) 724-2710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 41023 | Massachusetts |
Profile Details
| NPI number | 1154312767 |
|---|---|
| LBN Legal business name | Kleinman, Ronald Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154312767 | NPPES |
| Massachusetts | MEDICAID | 0110043 | |
| Massachusetts | Other | 702613 | |
| Massachusetts | Other | E05243 |
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